Effect of comprehensive nursing intervention on children with functional dyspepsia
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摘要:
目的 探讨综合护理干预对小儿功能性消化不良的临床效果。 方法 将100例功能性消化不良患儿随机分为对照组与观察组，对照组给予常规护理，观察组给予综合护理干预。比较两组的治疗效果、依从性，治疗后患儿焦虑、抑郁改善情况、生活质量改善情况。 结果 观察组总有效率高于对照组（98.00% vs80.00%，P<0.05）。2组干预后焦点自评量表、抑郁自评量表评分低于干预前，观察组干预后焦点自评量表、抑郁自评量表评分低于对照组（P<0.05）。观察组坚持遵医嘱服药、避免诱发因素、发作时应急处理、定期复诊依从性评分高于对照组（P<0.05）。2组干预后SF-36评分高于干预前，观察组干预后SF-36评分高于对照组（P<0.05）。 结论 综合护理干预可提高小儿功能性消化不良的临床效果，改善患儿不良心理状态，提高治疗依从性及生活质量，值得临床推广应用。 Abstract:Objective To investigate the clinical effect of comprehensive nursing intervention on children with functional dyspepsia. Methods A total of 100 children with functional dyspepsia were randomly divided into control group and observation group. The control group received routine nursing intervention, while the observation group was given comprehensive nursing intervention. The treatment effect, compliance, amelioration of anxiety and depression, and improvement of quality of life of the two groups were compared. Results The total effective rate of observation group was significantly higher than that of control group (98.00% and 80.00% respectively, P<0.05). The SAS score and SDS score of the two groups after intervention were significantly lower than those before the intervention. SAS and SDS score of the observation group were significantly lower than those of the control group (P<0.05). The scale of taking prescribed medication, avoiding inducing factors, making emergency treatment during dyspepsia attack and regular follow-up compliance of observation group were significantly higher than those of control group (P<0.05). The SF-36 scores of the two groups after intervention were significantly higher than those before the intervention, and the SF-36 score of observation group was significantly higher than that of control group (P<0.05). Conclusion The comprehensive nursing intervention can improve the clinical efficacy in the treatment of children with functional dyspepsia, improve adverse psychological state, and enhance treatment compliance and quality of life, thus worthy of clinical application. -
表 1 治疗效果比较[n（%）]
组别 痊愈 好转 无效 总有效率 观察组 34（67.00） 15（30.00） 1（2.00） 49（98.00） 对照组 26（52.00） 14（28.00） 10（20.00） 40（80.00） χ2 - - - 6.537 P - - - 0.011 
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表 2 焦虑、抑郁改善情况（Mean±SD，分）
组别 指标 干预前 干预后 t P 观察组 SAS 51.56±8.21 35.02±4.13* 12.726 <0.001 SDS 48.52±8.16 18.11±3.28* 24.451 <0.001 对照组 SAS 51.28±8.16 42.17±6.54 6.16 <0.001 SDS 48.26±8.12 29.53±5.17 13.758 <0.001 *P<0.05vs对照组干预后.
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表 3 治疗依从性比较（Mean±SD，分）
组别 坚持遵医嘱服药 避免诱发因素 发作时应急处理 定期复诊 观察组 3.68±0.38 3.39±0.35 3.59±0.35 3.27±0.42 对照组 2.36±0.35 2.25±0.36 2.31±0.34 2.16±0.33 t 18.067 16.055 18.549 14.695 P <0.001 <0.001 <0.001 <0.001
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表 4 生活质量改善情况（Mean±SD，分）
组别 干预前 干预后 t P 观察组 61.25±6.53 69.36±6.62 6.167 <0.001 对照组 61.38±6.27 64.16±6.58 2.163 0.016 t 0.104 3.939 P 0.459 <0.001
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